House Fire

Case Summary

Steven is a 25-year old man who is brought in by ambulance to ED. He was extricated from a burning house and is unresponsive. He has singed eyebrows, soot on his face and in his nares.  He also has burns to his entire chest, abdomen, front of his right arm and right leg. He was placed on a NRB and brought to the resuscitation bay. He is hypotensive and tachycardic with a GCS of 3. Fluid resuscitation and intubation should be a priority.

It will be a difficult airway and cricothyrotomy should be considered in the planned approach. When the learners decide to proceed with the cric, the team can use the Cric Slide:

Once the airway is secured, bloodwork reveals profound metabolic acidosis, carboxyhemoglobin of 30 and lactate of 12. Cyanide poisoning is suspected and should be treated. A cyanokit is included in the slides, which can be revealed when requested by the learner.


The following slides are deliberately “view only” (since they are the master slides). To use them – you simply need to copy and paste the slides you would like to use into your own, new Google Slides Document.

How can you make your Virtual Resus Room using these slides?
  1. Click on link for Room
  2. This will open in a new tab as a “View Only” Google Slide document
  3. Google Slide -> File -> Make a copy -> Entire presentation
  4. Copy document pops up. Name case. Press Ok.
    • Name slide set something generic like “Room A” so it doesn’t contain spoilers when you share with your learners!
  5. This will open new tab as your editable Google Slide document
  6. File -> Version History -> Name Current Version -> “Unused Room”
    • This will save this untouched version of the room before the case starts (See “Resetting Room after Case” in “Running the Sim”:)
Case Written By:

Dr. Lauren Self, modified from a case written by Dr. Kyla Caners from EMSimCases.

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